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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986074 <br />Receipt #: <br />Date: <br />Permit: <br />8800 <br />08/16/2010 <br />M1986074 <br />Kym A. Schure <br />000000000 <br />J <br />4094 4300-01 Minerals Annual Fees <br />M-1986-074 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1